- Elevance Health (Cleveland, TX)
- …participating in the member's case in accordance with applicable state law and contract ; develops, monitors, evaluates, and revises the member's care plan to meet ... make an impact:** + Responsible for performing telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of… more
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- …and physicals, medication management, evaluation of diagnostic tests and treatment planning, clinical reminder completion as applicable. Function as a leader in the ... a team-based approach to healthcare. Oversee PACTs compliance to Message Manager , MyHealtheVet, and encounter completion. Proficient in Tele-Health to home visits… more
- Danaher Corporation (Austin, TX)
- …team of seasoned Government Account Managers, a Strategy Leader and a Contracting Manager . In addition, you will operate with and leverage the broader sales ... including sales in the interpretation, negotiation, and management of complex contract offerings and implement strategies to improve profitability, analytics, and… more
- Houston Methodist (Houston, TX)
- …and provides support to other team members as advised by the manager and/or supervisor. Resolves routine insurance billing inquiries and problems within departmental ... Identifies claim processing issues and general billing trends. Notifies supervisor and/or manager regarding trends to avoid further delay in claims processing. +… more
- Elevance Health (Grand Prairie, TX)
- …incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient ... with provider on referrals given. + Refers cases requiring clinical review to a nurse reviewer; and handles referrals...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Grand Prairie, TX)
- …incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient ... authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- US Tech Solutions (Austin, TX)
- **Duration: 6 months contract ** **Job Summary:** Nurse Practitioners will work in collaboration with a dedicated clinical care team to provide evidenced-based ... care to a panel of patients. The clinical care team will work with the provider daily...disposition planning. This role will report to the practice manager . **Job Description:** + Provide Primary and Family evidenced-based… more
- Sharecare (Austin, TX)
- …CST. **Job Summary:** Under the general supervision of a Customer Service Manager , the Program Engagement Representative has the primary responsibility of making ... enroll and schedule members in the telephonic lifestyle management or clinical coaching. Additionally, Engagement Specialists will explain platform features and… more
- CenterWell (Humble, TX)
- …input on key customer opportunities, service line extensions and proposal or contract pricing. **Use your skills to make an impact** **Required Experience/Skills:** ... (SNFs), DME, ortho, cardio, etc OR previous experience as a clinical liaison preferred + Excellent interpersonal communication and presentation skills required.… more
- Fresenius Medical Center (Harker Heights, TX)
- …role as well as a leadership path from Area Technical Operations Manager , Regional Technical Operations Manager , and Senior Director Technical Services, ... physical plant, as directed. * Ensures outside vendor services are completed per contract . * Purchases and retain an inventory of service parts. * Performs,… more